Basic medical insurance for the aged from Zhoupu communities in Shanghai：analysis of satisfaction and influencing factors
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Objective Through analyzing antibiotics prescription in some representative hospitals in Guangzhou before and after the adjustment of the medical insurance catalogue in 2004,the research will offer some reference information for the revision of the medical insurance catalogue.Methods To evaluate the usage of antibiotics in some representative hospitals in Guangzhou before and after the adjustment of the medical insurance catalogue in 2004,this article employed the frequency analysis method and the correspondence factor analysis method.Results Hospitals tend to choose the Medicare drugs,especially the second group of the drugs.Conclusion The Medicare Catalogue has an influence on choosing drugs in hospitals,so it's roles of guidance in medical treatment should be paid enough attention to.
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Medical insurance of minors is one of the important research content of Basic Medical Insurance of Urban Residents (BMIUS). However,current research related to payment and financing level of minors' medical insurance is relatively few. This article compared the basic medical expenses of minors,compensation expenses of medical insurance funds,willingness to pay of medical insurance,and other related theoretical study,and then to sum up the relevant theory of BMIUS,and to provide reference for improving the level of BMIUS for minors.
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Medical expenses
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A priority of payment pattern reform in national medical insurance is to transform the fee-for-services(FFS)into Diagnosis Related Groups(DRGs).Through establishing the game models between doctors and patients,and between hospitals and national insurance institutions,we analyzed the behavior characteristics of the game participants under the two different payment pattern of medical insurance.As conclusions,DRGs was proved to be more superior than FFS in controlling unreasonable medical fee.No matter under which payment pattern,optimizing the methods of medical insurance management and enhancing the penalty of violations are useful ways to reduce unreasonable medical fee.
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Medical services
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It is very significant to explore the interacting relationship between the basic medical insurance and commercial medical insurance for improving the medical security system. Based on the analytical framework of expected utility theory, by analyzing the model of insurance demand theory, this article shows following: the interacting relationship between the basic medical insurance and commercial medical insurance is either “Complementary Effect ” or “Crowd-out Effect”. The dominant relationship is decided is depend on the probability of illness in the elderly and the setting rate of basic medical insurance reimbursement. When both medical insurances coexist, if both price and quantity of commercial medical insurance reach the optimum point, the expect utility of the medical security for the aged will maximize.
Medical insurance
Reimbursement
Medical underwriting
Group insurance
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The paper briefly introduced the outpatient and inpatient medical services and medical insurance system in Germany.It also covered the regulatory model and its structure and role of the German medical service,which are characterized ofSociety-led self-governance.Based on the observation and inspiration of this model,the authors came up with.recommendations to improve China' s medical service,medical insurance and regulatory model.
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Germany; Medical service; Medical insurance; Medical service supervision; Self-governance; Inspirations
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Objective: To summarize the existed problems and the relationship between the medical insurance and basic medical insurance policy,to find more reasonable payment mode to adjust with the medical insurance policy.Methods: On the basis of the endowment insurance implement experience,explore the payment mode of medical insurance.Results: It is very necessary to set the payment period of the basic medical insurance.
Medical insurance
Endowment policy
Mode (computer interface)
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Objective: To provide suggestions for the medical insurance policy through investigating the influence of the adjustment of the self-paid proportion on the antibiotics usage in a hospital.Methods: The antibiotics usage befor and after the adjustment of the proportion of self-paid drugs were analyzed and freqency degree analysis methods were used.Results: Drugs in the catalogue for medical insurance,especially less self-paid drugs,are preferred to use.Conclusion:The trends of the usage of antibiotics are influenced by the medical insurance policy.
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Customer orientation
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This paper presents a part of a larger study in the perspective of halal food logistics (HFL) towards halal food & beverages (FB logistics service providers (LSPs) that offering HFL services and the halal product's manufacturers, mainly from small and medium enterprises (SMEs). Some of the challenges were identified such as the complex management of warehousing and terminals, the lack of trust and knowledge, perceived risk, and others that related to the halal matters.
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